CPT 0200T · SI Joint / Fusion · Illinois Medicaid (HFS)
Sacroplasty — Unilateral at Illinois Medicaid (HFS).
How Illinois Medicaid (HFS) approaches CPT 0200T (Sacroplasty — Unilateral) for prior-authorization review: at last review on 2025-11-01, the policy covers this code with prior authorization required.
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Criteria summary
High-level themes from the Illinois Medicaid (HFS) policy of record for CPT 0200T. Verbatim policy text and per-criterion analysis are available after sign-in.
- Conservative care expectations vary; sign in for specifics.
- Imaging concordance documentation required.
Source: Illinois Medicaid (HFS) Medical Necessity Guidelines - Evidence-based coverage
See the full Illinois Medicaid (HFS) criteria.
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